ISSN 1302-0099 | e-ISSN 2146-7153
TURKISH JOURNAL CLINICAL PSYCHIATRY - Turkish J Clin Psy: 20 (1)
Volume: 20  Issue: 1 - 2017
EDITORIAL
1. Editorial
Burhanettin Kaya
Page 5
Abstract |Turkish PDF

RESEARCH ARTICLE
2. The Relationship Between Early Maladaptive Schemas, Parenting Styles And Psychological Symptoms And The Needs Threats
Burcu Kömürcü, Gonca Soygüt Pekak
doi: 10.5505/kpd.2017.29292  Pages 6 - 18
INTRODUCTION: This study was designed to examine the relationship between early maladaptive schemas, parenting styles, psychological symptoms and the need threats in university students.

METHODS: The sample of the study consisted of 133 undergraduate students studying at Hacettepe University. Aforementioned variables were assessed by Young Schema Questionnaire- Short Form 3, The Turkish versions of the Young Parenting Inventory, Symptom Assesment Inventory, Need Threat Scale.

RESULTS: A series of regression analyses revealed that perceived paternal Conditional/Success-Oriented parenting style predicted the decrease in self esteem. The Pessimistic/Anxious paternel parenting style predicted the increase in self esteem. Extreme Permissive/Unlimited and Pessimistic/Anxious paternal parenting styles predicted the increase in the need of control. On the other hand paternal Punitive parenting style predicted the decrease in perceived control. Analyzing the relationship between psychological symptoms and self-esteem, results showed that the increase in anxiety score predicted the increase in self esteem and phobic anxiety predicted the decrease in self esteem. Moreover, the decrease in self-esteem predicted by the increase in interpersonal sensitivity. Finally, analyses showed that there is no significant relationship between schema domains and basic need threats.


DISCUSSION AND CONCLUSION: In conclusion, findings pointed out the predictive power of early maladaptive schemas, perceived parenting styles and psychological symptoms on need threats.


3. Reflection of Symptomatic Improvement in Attention and Memory Functions in Patients with Schizophrenia
Duygu Yiğittürk, Burhanettin Kaya, Süheyla Ünal
doi: 10.5505/kpd.2017.21939  Pages 19 - 29
INTRODUCTION: In this study, we proposed that if schizophrenic symptoms will decrease with drug treatment, it would be improvement in attention and memory functions.
METHODS: This research has been done in Inonu University Turgut Ozal Medicine Center Psychiatry Clinic between 2003- 2005. We included 27 patients whose ages ranged between 18-50 and who were inpatients and/or outpatients of Psychiatry Clinic, treated with the diagnosis of schizophrenia according to DSM-IV diagnosis criteria. During their acute periods Brief Psychiatric Rating Scale (BPRS), Positive Symptoms Rating Scale (SAPS), Negative Symptoms Rating Scale (SANS) and UKU Side Affect Assessment Inquiry were applied to patients and, at the same day they were also given Wechsler Memory Scale (WMS-R), Stroop Test and a Verbal Test of Memory Process (SBST). Same procedures were repeated when their symptoms improvement (when their BPRS scores were reduced at least %50). By using Wilcoxon Signed Ranks Test, we compared psychometric measures that were performed in patients in two periods.
RESULTS: When the results of neuropsychological tests in the acute and symptom resolution periods were compared, in WMS-R test; personal and current information task, orientation, concentration, logical memory and attention scores, in SBST; long and short period memory scores were found significantly higher, and all Stroop subtest scores were found significantly lower in the response to treatment.
DISCUSSION AND CONCLUSION: In our study, we found that schizophrenia patients have better attention and memory functions when positive and negative symptoms were regressed. This observation supports the importance of prevention of exacerbations in terms of reduction cognitive deteriorations in patients with schizophrenia.

4. Sociodemographic And Clinical Characteristics Of Patients In The Kahta State Hospital Psychiatry Clinic
Aysun Kalenderoğlu
doi: 10.5505/kpd.2017.76476  Pages 30 - 36
INTRODUCTION: The aim of this study was to investigate the sociodemographic and clinical characteristics of patients who applied to the Kahta State hospital.
METHODS: A total of 270 inpatients were evaluated in the Psychiatry Department of Kahta State hospital between 2010 and 2013. Diagnoses were made according to DSM-IVTR.
RESULTS: The mean age of the inpatients was 40,68 ±14,80 and The patients consisted of males 45,9 %, females 54.1 %. According to the DSM-IV criteria there was only one disorder in 58,51% patients (n=158). Those were Anxiety disorder 30.4% (n=48), psychotic disorder 27,2% (n=43), bipolar affective disorder 19,6% (n=31), major depression 14,6% (23), mental retardation 4,4% (n=7), substance abuse 1,9% (n=3), delusional disorder 1,3% (n=2) and dementia 0,6% (n=1). 41,49% of (n=112) this patients had comorbid disorders.
DISCUSSION AND CONCLUSION: The importance of epidemiologic research is increasing in our country as well as other countries recently. Valid and reliable data for psychiatric disorders are required in Turkey. Evaluating the results of studies performed in different regions of our country will contribute to obtain the specific characteristics of psychiatric disorders in Turkey.

5. Socio-Demographical And Clinical Characteristics Of Vaginismus Comparison With Other Female Sexual Dysfunction
Münevver Hacıoğlu Yıldırım
doi: 10.5505/kpd.2017.07379  Pages 37 - 44
INTRODUCTION: Unlike western societies vaginismus is the most frequent sexual dysfunction in patients admitted to sexual dysfunction outpatient clinics in Turkey. İn this study it was aimed to investigate the sociodemographical and clinical differences between vaginismus and other sexual dysfunctions
METHODS: 49 patients with vaginismus and 60 patients with other sexual dysfunction disorders who admitted to sexual dysfunction outpatient unit in a year were enrolled in the study. İn this study Socio - demographical and sexual behaviour scale and clinical characteristics scale prepared by clinicans were used.
RESULTS: Patients with vaginismus had higher marriage age and lower admnistiration age compared to other sexual dysfunction disorders. When we compared family attitude and sexual education we found that both groups had similar scores. Sexual activity before marriage and desire, arousal, orgasm in current sexual activity scores were higher in patients with vaginismus compared to patients with other sexual dysfunction disorders
DISCUSSION AND CONCLUSION: İn our studt there were no differences in terms of cultural variables. When cross-cultural differences in prevalance rates of vaginismus is considered to determine possible etiologic factors it will be important to compare them to groups that have sexual problems not only health controls.

REVIEW
6. The first interview with child ahead of reporting suspected child sexual abuse
Aynur Eren Gümüş
doi: 10.5505/kpd.2017.32032  Pages 45 - 58
Child’s disclosures have critical value in child sexual abuse reporting. However, literature show that it is not realistic to expect the abused child to disclosure what s/he experienced easily. Accordingly, it is very important to have professionals who can provide help to get child’s purposeful disclosure. In this study, in order to get enough information of the suspected child sexual abuse, depicting the basics of the first interview; therefore providing a written reference appeal for the personnel concerning the issue was aimed. To assure this aim, the studies concerning the child sexual abuse disclosures and interview protocols formed for similar reasons were examined.
In this study, a three staged interview schema was taken as a base and an interview plan was formed with regard to samples of possible response sample scenarios. The preparation stage in which establishing a secure relationship with the child is a priority, consists of a general relaxing conversation, informing and describing the guidelines of the interview. The facilitation stage in which child’s spontaneous disclosure was supported, includes the use of responses such as encouraging, genuineness, explaining the boundaries of confidentiality, minimal encouragers to talking, free-recall prompt, empathetic response, ability of sustaining silence, asking questions with an aim, paying attention to implied explanations and confirming explanation behavior. The termination stage in which the convenience of ending the interview was checked, involves learning child’s feelings about his/her disclosure, checking child’s security, answering his/her questions, encouraging him to take control and preparation of written form of the interview.

7. Ergotherapy: A Job Field That Can Be The Job of Future
Onur Okan Demirci
doi: 10.5505/kpd.2017.41636  Pages 59 - 65
‘Ergo’ word which means ‘work’ has an origin of Greek language. It is a method which practises in individuals who have pyhsical or mental disabilities. Ergotherapy, on the other meaning occupational therapy, includes activities like art, music, painting, handiwork, physical activities, motor functioning therapy, auditory perception exercises, ligering on exercises. Although it seems as a new healthcare field, the history of ergotherapy is quite old. It has been used in the century of 4th anno domini in Asklepios Temple as a rehabilitation method for disabled people. Nowadays, there are ever increasing articles about the efficieny of ergotherapy. It already took 17th place inside the list of best healthcare jobs and 23th place inside the best entire jobs in United States of America. At the present time, although there are many ergotherapists all over the World, unfortunately in our country there is few. In this sense, ergotherapy seems to be an important job field in the near future in Turkey.

CASE REPORT
8. Treatment refractory or trauma overlooked? A case of EMDR responsive late onset PTSD
Alişan Burak Yaşar, Fatma Dilara Altunbaş, Ayşe Enise Abamor, Meliha Zengin Eroğlu, Çiğdem Çelik Yaşar
doi: 10.5505/kpd.2017.66376  Pages 66 - 69
Traumatic events experienced in different periods of life may soon alter negative psychological changes. These negative shifts might be indications of pathology depending on their duration and consequences. In cases of Post Traumatic Stress Disorder with delayed expression (PTSD with delayed expression), which is a trauma-related disorder, stress related symptoms are observed after 6 months or later following traumatic event. Although the clinical picture be complicated, scrutinizing the patient’s existing symptoms and psychiatric history, detecting underlying problems and traumas, and then conducting a proper treatment accordingly may help provide recovery for its patients. In this case study, treatment of a PTSD with delayed expression comorbid Major Depressive Disorder (MDD) resistant to pharmacotherapy, which emerged after a childhood sexual trauma had become triggered in adulthood, will be discussed.

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